| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $37 | 0% | $37 |
| Blood Test - Cholesterol Test, Lipid Panel | $37 | 0% | $37 |
| Blood Test - Clotting Time | $11 | 0% | $11 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | 0% | $33 |
| Blood Test - General Health Panel | $190 | 0% | $190 |
| Blood Test - Hepatitis C Antibody Level | $112 | 0% | $112 |
| Lab Test - Detection test for Hepatitis B Surface Antigen | $78 | 0% | $78 |
| Lab Test - Detection test for Influenza Virus | $37 | 0% | $37 |
| Office Visit - Basic | $105 | 0% | $105 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $295 | 0% | $295 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $311 | 0% | $311 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $289 | 0% | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $315 | 0% | $315 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $368 | 0% | $368 |
| Office Visit - Established Patient, High Complexity | $368 | 0% | $368 |
| Office Visit - Established Patient, Low Complexity | $210 | 0% | $210 |
| Office Visit - Established Patient, Moderate Complexity | $289 | 0% | $289 |
| Office Visit - New Patient, Low Complexity | $228 | 0% | $228 |
| Office Visit - New Patient, Minor | $184 | 0% | $184 |
| Office Visit - New Patient, Moderate Complexity | $349 | 0% | $349 |
| Strep Test (Streptococcus, group A) | $37 | 0% | $37 |
| Urine Test - Automated with Microscope Examination | $38 | 0% | $38 |
| Urine Test - Pregnancy | $26 | 0% | $26 |
| Urine Test - Urinalysis, Manual Test | $11 | 0% | $11 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $79 | 0% | $79 |
